Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 713026 (X3) Date Survey Completed 04/09/2026
Name of Provider or Supplier Bogalusa Rehabilitation Hospital Street Address, City, State 621 Columbia Street, Bogalusa, LA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
A0115 PATIENT RIGHTS
CFR(s): 482.13

A hospital must protect and promote each patient's rights.


This CONDITION is not met as evidenced by:
Based on observations and interviews, the hospital failed to meet the requirements of the Condition of Participation for Patient Rights. The deficient practice was evidenced by: 1) Failure to ensure the medical record was prominently documented as to whether or not the patient had an advanced directive in 2 (#22, #23) of 30 medical records reviewed (See Findings Tag A0132); 2) Failure to ensure the basic life support guidelines were followed during an emergent condition of 1 (#6) of 1 rapid response event reviewed (See Findings Tag A0144); 3) Failure to ensure the nurse call system was functioning via call buttons located on the side rails of the patient's beds in Rooms "a"- "k" (See Findings Tag A0144); 4) Failure to ensure documentation of quality controls performed on glucometers used in the hospital (See Findings Tag A0144); 5) Failure to ensure the driver of the hospital's van that transports patients had a chauffer's license and followed hospital policy (See Findings Tag A0144); 6) Failure to ensure the hospital's van was in safe operating condition for patient transportation (See Findings Tag A0144); and 7) Failure to appropriately label the patient's electronic medical record with the appropriate code status in 3 (#8, #16, #17) of 30 medical records reviewed (See Findings Tag A0144).